| A problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period: |
| 1) Cannabis is often taken in larger amounts or over a longer period than was intended. |
| 2) There is a persistent desire or unsuccessful efforts to cut down or control cannabis use. |
| 3) A great deal of time is spent in activities necessary to obtain cannabis, use cannabis, or recover from its effects. |
| 4) Craving, or a strong desire or urge to use cannabis. |
| 5) Recurrent cannabis use resulting in a failure to fulfill major role obligations at work, school, or home. |
| 6) Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis. |
| 7) Important social, occupational, or recreational activities are given up or reduced because of cannabis use. |
| 8) Recurrent cannabis use in situations in which it is physically hazardous. |
| 9) Cannabis use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by cannabis. |
| 10) Tolerance, as defined by either of the following: |
| a) A need for markedly increased amounts of cannabis to achieve intoxication or desired effect. |
| b) Markedly diminished effect with continued use of the same amount of cannabis. |
| 11) Withdrawal, as manifested by either of the following: |
| a) The characteristic withdrawal syndrome for cannabis. |
| b) Cannabis (or a closely related substance) is taken to relieve or avoid withdrawal symptoms. |
| Specify if: |
| In early remission: After full criteria for cannabis use disorder were previously met, none of the criteria for cannabis use disorder have been met for at least 3 months but for less than 12 months (with the exception that Criterion A4, "Craving, or a strong desire or urge to use cannabis," may be present). |
| In sustained remission: After full criteria for cannabis use disorder were previously met, none of the criteria for cannabis use disorder have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, "Craving, or a strong desire or urge to use cannabis," may be present). |
| Specify if: |
| In a controlled environment: In a controlled environment: This additional specifier is used if the individual is in an environment where access to cannabis is restricted. |
| Specify current severity: |
| Mild: Presence of 2 to 3 symptoms. |
| Moderate: Presence of 4 to 5 symptoms. |
| Severe: Presence of 6 or more symptoms. |
